| NPI | 1023568912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00673400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341187) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F341187) | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2020-12-31 |